Volume 20, Number 10—October 2014
Dispatch
Treatment of Giardiasis after Nonresponse to Nitroimidazole
Eli Schwartz, Tamar Lachish, and Eli Schwartz
Table 1
Management of giardiasis nonresponsive to nitroimidazole treatment, Israel, January 2008–October 2013*
| Patient age, y/sex | Travel history | No. failed nitroimidazole courses | Immunologic assessment | Alb | Nitaz | Quin | Paromo |
|---|---|---|---|---|---|---|---|
| 24/M | Israel | 9 | Pan-hypogammaglobulinemia | Failed† | Failed | NA | NA |
| 35/M | Latin America | 3 | IgA deficiency | Failed | Failed | Cured | NA |
| 61/M | Israel | 1 | IgA deficiency | Cured | NA | NA | NA |
| 23/M | Latin America | 1 | IgA deficiency | Cured‡ | NA | NA | NA |
| 25/M | Thailand | 3 | Normal | Failed | Failed | Cured | NA |
| 45/M | India | 3 | Normal | Failed | Cured | NA | NA |
| 31/F | India | 2 | Normal | Failed | NA | NA | Cured‡ |
| 26/M | India | 1 | Normal | Failed | NA | NA | Cured |
| 23/M | India | 1 | Normal | Cured | NA | NA | NA |
| 24/M | Thailand | 1 | Normal | Cured | NA | NA | NA |
| 25/F | India | 2 | Normal | Cured‡ | NA | NA | NA |
| 23/F | India, Thailand | 1 | ND | Cured† | NA | NA | NA |
*Alb, albendazole; NA, not administered; ND, not done; nitaz, nitazoxanide; paromo, paromomycin; quin, quinacrine.
†Combination albendazole–tinidazole treatment.
‡Patient was clinically asymptomatic but did not provide a posttreatment fecal sample.
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Page updated: September 22, 2014
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